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犬肾素分泌的调控。呋塞米对血管和致密斑受体的影响。

Control of renin secretion in the dog. Effects of furosemide on the vascular and macula densa receptors.

作者信息

Corsini W A, Hook J B, Bailie M D

出版信息

Circ Res. 1975 Oct;37(4):464-70. doi: 10.1161/01.res.37.4.464.

Abstract

Experiments were undertaken to investigate further the effect of furosemide on renin secretion in the anesthetized dog. To separate the effects of the macula densa and the baroreceptor mechanisms, experiments were conducted in kidneys made nonfiltering by combining 2.5 hours of renal ischemia with ureteral ligation. Furosemide, in a dose of 5 mg/kg, increased renin secretion and decreased renal resistance in dogs with a nonfiltering kidney. Prior dilation of the nonfiltering kidney with either acetylcholine or papaverine prevented changes in both resistance and renin secretion. However, following dilation of the intact filtering kidney with acetylcholine, furosemide caused an increase in renin secretion. Infusion of d,l-propranolol decreased renin secretion in both the filtering and the nonfiltering kidneys. Following propranolol treatment, furosemide increased renin secretion in the filtering kidney but had no effect on renal resistance. These experiments indicate that furosemide stimulates renin secretion by both the macula densa and the baroreceptor mechanisms. The data suggest that stimulation of the sympathetic nervous system may alter renin secretion by modulating the renal baroreceptor, but sympathetic innervation does not appear to be involved in the macula densa mechanism.

摘要

开展了实验以进一步研究速尿对麻醉犬肾素分泌的影响。为了区分致密斑和压力感受器机制的作用,通过将2.5小时的肾缺血与输尿管结扎相结合,使肾脏不具备滤过功能,在此种肾脏上进行实验。在肾脏不具备滤过功能的犬中,5mg/kg剂量的速尿可增加肾素分泌并降低肾阻力。用乙酰胆碱或罂粟碱预先扩张不具备滤过功能的肾脏可防止阻力和肾素分泌的变化。然而,用乙酰胆碱扩张完整的具备滤过功能的肾脏后,速尿会导致肾素分泌增加。输注d,l-普萘洛尔可降低具备滤过功能和不具备滤过功能的肾脏中的肾素分泌。普萘洛尔治疗后,速尿增加了具备滤过功能的肾脏中的肾素分泌,但对肾阻力无影响。这些实验表明,速尿通过致密斑和压力感受器机制刺激肾素分泌。数据表明,交感神经系统的刺激可能通过调节肾压力感受器来改变肾素分泌,但交感神经支配似乎不参与致密斑机制。

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